Mr. Raymond Bradley Mcmillin
Rehabilitation Psychologist
801 E Main St
Tishomingo
, Oklahoma 73460-2351
Mr. Raymond Bradley Mcmillin
Rehabilitation Psychologist
801 E Main St
Tishomingo
, Oklahoma 73460-2351
(918) 647-1610
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mr. Raymond Bradley Mcmillin
- 122 Redbud Ln
- Poteau, OK
- Zip : 74953-2040
- Phone : (918) 647-1610
Second Address
- Mr. Raymond Bradley Mcmillin
- 801 E Main St
- Tishomingo, OK
- Zip : 73460-2351
- Fax : (580) 371-2056
- Phone : (580) 371-3799
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1194088815 |
|---|---|
| Provider Name | Mr. Raymond Bradley Mcmillin |
| First Address | Poteau, OK 74953-2040 |
| Second Address | Tishomingo, OK 73460-2351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2012 |
| Last Update Date | 18/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200226970A | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.